Family Therapy Basics Research Roundup, Summer 2024: Couple Therapy Topics

September 6, 2024 Ili Rivera Walter, PhD, LMFT

This summer, I reviewed recent research in the field of marriage and family therapy. In this post, I include a brief summary of several articles and one book that I read—all on the topic of romantic relationships and relevant for couple therapy. The articles are from the July 2024 issue of the Journal of Marital and Family Therapy.

Questions That Will Keep You Focused And Productive, When Life Has Other Plans: Four Steps for Therapists

February 8, 2024 Ili Rivera Walter, PhD, LMFT

Last year, I went through some personal situations that left me feeling, at times, at the mercy of events that were out of my control. As a result, I often felt frustrated—blocked from the things that I wanted to do, by my circumstances. This led to a sort of snowball effect that generated ongoing tension between my desires and my present responsibilities. (Have you ever gone through a similar season?)

How to Use EMDR In Couple Therapy

January 4, 2024 Yvonne Judge

When one or both partners in a relationship have trauma, it can adversely affect the relationship. Relationship satisfaction is lower and marital divorce and separation is higher in those who experienced childhood traumas such as physical or sexual abuse, physical attack, or assault (Whisman, (2006). Results from a study by Riggs (2014) suggest that trauma experienced in adulthood can also adversely affect relationships, and that this effect is compounded if both partners have experienced trauma. As a couple therapist, these statistics can be daunting, as they point toward a need to help members of a couple resolve their trauma while addressing relationship issues.

How To Address Weight Stigma, and Clients' Use of Weight-Loss Drugs, in Therapy

November 2, 2023 Kate Morris, LCSW

For decades, we have heard about the “war on ob*sity.” Alongside that rhetoric, we have witnessed, been complicit in, or helped to fund the creation of what is now a $4.2 trillion worldwide wellness industry (Wellness, 2018).

But a fat body – a term used descriptively and in recognition of the fact that “ob*sity” is an arbitrary designation at best (Singer-Vine, 2009) and a pathologizing slur at worst – does not in and of itself warrant this veritable economy of body transformation. In fact, research has shown both that body weight is a poor indicator of health and that people can achieve good health at many different sizes (Bacon & Aphramor, 2011).

10 Therapist (and Child)-Approved Activities to Support Kids with Anxiety

If you’re a mental health professional working with children, you will probably agree that many of the calls you receive from parents have something to do with anxiety or stress. Child therapists have the amazingly important yet challenging task of educating and supporting kids in a therapeutic setting that is both productive and fun. When working with children as young as preschool age, it can be a very daunting task to keep things fresh and exciting week after week! So, how do we help children develop the coping skills they need while keeping them engaged (and not glancing at their watch)? Here are ten therapist (and child!)-approved, fun activities that address anxiety-based disorders and promote relaxation and stress reduction in children:

The Art and Science of Therapy as Craft, Part 2: Crafting Questions

For this week's video chat, Dr. AnnaLynn Schooley returns to discuss therapy questions as an intentional craft, and she covers four basic question types: single answer, open, closed, relational, and circular.

Therapist Self-Disclosure Simplified

Self-disclosure is a touchy subject among therapists. Some therapists never self-disclose, while others feel stifled by having a rigid boundary around self-disclosure. As I consider self-disclosure in therapy, I ask myself, “When is self-disclosure appropriate?” “How does self-disclosure deepen the therapist-client connection?"

Solution Focused Brief Couples Therapy Tips, with Elliott Connie

Elliott Connie is a Solution Focused Brief Therapy (SFBT) practitioner, author, and speaker. He developed an approach to couples work that distills the essence of SFBT into guiding principles for working with couples.

As a therapist who loves working with couples, I am always interested in ways to enhance my couples therapy skills. For this reason, I invited Elliott to explain the reasons why SFBT is his choice for working with clients, as well as how it creates a contrasting experience for couples that have a history in therapy.

Family of Origin Exploration for the Therapist: How to Create Your Genogram

In article three of the Family of Origin for the Therapist series, you learned 3 simple steps for how to begin family of origin (FOO) exploration: 1) read Bowen’s chapter, 2) observe your FOO experience, and 3) reflect on what you learned. Hopefully, your curiosity has led to significant understanding.

Understanding is the foundation of Bowen Family Systems Theory (BFST). Bowen (1985) believed that if clients could understand themselves as members of their FOOs and as created by their histories, they could begin and continue significant change.

In today’s post, I offer the next step in developing understanding: Creating your genogram. I explain how to create a basic genogram that you can expand as you continue your exploration.

5 Tips for Keeping Up with Therapy Paperwork

In my interaction with therapists as a mentor and supervisor, I’ve learned that one of the main struggles therapists face is having too much work and not enough time. Many therapists find themselves overwhelmed by documentation responsibilities, in particular; this includes completing client notes, referrals, billing, treatment plans, etc.

In today’s post, I offer several strategies for keeping up with paperwork, so that you can stay on track and avoid the stress of falling behind.

Solution-Focused Brief Therapy Client Types, and Their Relevance To Every Session

In her 1989 article, Of Visitors, Complainants, and Customers, Insoo Kim Berg details three types of “client-therapist relationships” (p. 21). Her wording is significant, because she is not labeling clients; she is describing them in terms of their relationship to the therapist, the process of therapy, and the problem. These three relationships have undergirded Solution-Focused Brief Therapy theory and interventions over the years, although they are not consistently discussed in newer works. The client relationship types are widely applicable to therapy, regardless of theoretical orientation, making them one of the most useful concepts in marriage and family therapy.

In this post, I present a review of these client types, and I explain their relevance to and usefulness for all therapeutic sessions.

How to Ethically Offer Coaching as a Licensed Therapist: A Step-By-Step Guide

One of the most common professional goals for my clients is expanding their private practice to include life coaching services. As professionals with a depth of knowledge in personal development and goal achievement strategies, therapists are ideal candidates for the coaching profession. Despite this near perfect fit, there are some important ethical consideration for therapists when offering coaching services alongside therapy, or when choosing to become professional coaches. In this post, I focus on offering solutions for these complications, in an effort to help you ethically practice coaching.

5 Step Plan for De-escalating an In-Session couple Argument

Most of us, therapists, have been there: A simple disagreement turns into an all-out screaming match in the middle of a therapy session. This is, thankfully, not a common scenario for most therapists, but it’s also not rare--especially for therapists who specialize in couple therapy.

In this post, I cover steps for disrupting an argument occurring in a couple therapy session. Intervention on the part of the therapist is necessary during some conflicts, because the arguments can cause further damage in the couple relationship. And, if therapists allow arguments to continue for too long, they can affect the couple’s sense of safety when in therapy.

The main goals of intervention in this case are to: